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13375 SW SANDRIDGE DRIVE 13375 SW Sends idge Drive Y OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 G BLIP _ 9eceived - _Date Requested_ AM--_ PM BLIP -_ Location ___ l3 3 :25— Suite -_-- MEC �iYy�- Pn ( �_. � .( PLM - - Contact Person _— --) - - ? L -- -- - - Contractor_. __—_ _ Ph( _) . - -- SWR - BUILDING _ Tenant/Owner _ ______. -_ -_ ELC Footing - ELC Fug ndation Access: Ftg Drain �i�' (3r� ELR Crawl Drain (~- SlabFInspection Notes: - SIT st& Be '-96ear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - ---- Firewa!I Fire Sprinkler - - Fire Alarm _ Susp'd Ceiling Roof - - !- Other: S^ j PART FAIL -- BING _ — - - --- Post& Beam Under Slab -f-- - Rough-In Water Service - ----- Sanitary Sewer 1 h Rain Drains Catch Basin/Manhole Storm Drain ----'- - - - `' -- - Shower Pan Other• - ._------- -__ ---__-+------- - -. ' i ASS PART FAIL ---- - - ------ -_-- ------------__--_._-�_-_._- - ANICAL - ---- -._- -- --- ------._... ---- -- - -- - _ - ost&Beam ,ough-In - Gas Line Smoke Dampers -- -- -- --`---- Final PASS PART FAIL _-- _ELECTRICAL _ Servire Rough-In ------ UG/Slab Low Voltage -- -�_^ ------- _ --- Fire Alarm Final U Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART_FAIL SITE _ Please call for reinspection RE:. __�_._ �] Unable to inspect-no access Fire Supply Line L,., � / %. DAoach/Sidewralk Date_�. Inspedot A PP Other:- - ----- - Final DO NOI REMOVE this inspoction record from the.fob site. PASS PART FAIL CITY OF TIGA.RD 24-Hour � U d BUILDING InspPc14ton Lin i � 39-4175 MST 3 —U INSPECTION DIVISION Business LI 634:- 171 BUP f i W/ i Blip Received ___ _-_Date Requested___ — - AM __Suite Location MFC- -1-3--3� ---� _— 3 �� PLM — h( ) -s�2 -- -- Contact Person — Ph SWR — Contractor ( —i --------—- -- ELC BUILDING TenL,.nUOWner --- -- Footing - ELC -- Foundation access: ELR - Ftg Drain Crawl Drain - - -- SIT - Slab Inspection Notes: Post&Beam - Shear Anchors Ext Sheath/Shear Int Sheath/Shear 1' G 11) Framing 11 Insulation Drywall Nailing , ^__ Firewall i/ ^QST C� �'/`'�' Fire Sprinkler Fire Alarm - Susp'd Ceilings Root ` r-- Other .- --- ,S V ., - t-✓l ASS PART_ PLUMBING Post&Beam 1 t.,,.� /\, �C' '�✓ _ -t Under Slab Rough-In Water Service , el`- Sanitary Sewer �ti�. - Rain Drains - (�) - ��-� /V2 Catch Basin/Manhole C 'G G� a A Storm Drein Shower Pan -A O Ocher:_---.._-`__- , �•. � <'7 , Z�' t_� , 7 S -- Final _ PASS PART FAIL d MECHANICAL = Post&Beam �- Rough-In Gas;ine Smoke Dampers n SS PART FAIL _RICAL Service _ - Rough-In - UG/Slab Low Voltage ---- Fire Alarm Final F-1 Reinspection tee of _ required before next inspection. Pay at City Hall, 13125 SW H911 Blvd. PASS PART FAIL Unable to inspect -no access SITE �- [r� Please call for reinspection RE:_ ` / --- Fire Supply Line �� D v �, � Ext ADA Date__ ` lreespectur - - Approach/Sidewalk Other: DO NOT REMOVE this inspoiction record from the job site. Final PASS PART FAIL ► •�LAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA rn N ► � d -4i .4 � ► LIN p. n';Un ► � J 4 rD ovir cn rD 4 b �- � U- ► a rD ► Z � � .�' ► <1 of � r, � ► •a. w ( ! rn ► �7' o ro ► rJ� O ► 4 C") 7 (D G ► rD 0 ► r! C Q ¢; M ► d IN o' � ► � b ► � a ► 4' I No.� I► �• n o � � n x A C1 S '0 �c CITY OF TIGARD 24-Hour BUILDING Inspection Line: �:a13i 639-4175 MST 3 _c,ucs INSPECTION DIVISION Business Line: (503) 639-4171 G�-�— BUP Received Date Requested - =�� —_ AM _-_-______.. PM--____ BUP _ Location -! '_ 'y J' y _ - __Suite MEC -------___-- Contact PersonPh(. --) /!j "c . a - PLM _ Contractor_ ___ l/ Ph(-------) SWR BUILDING Tenant/Owner _ --_-- ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain _ Slab Inspection Notes: SIT Post&Beam - - ----- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - - - Firewall Fire Sprinkler - ---- - Fire Alarm Susp'd Ceiling `-— - -- - Roof Other. ---------- ----------- Final PASS PARTFAIL `PLUMBINGI __ Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other:_ Final PASS _PART F: IL MECHANICAL ---- Post& Beam Rough-In Gas Line Smoke Dampers —— --- --- ---- -- --- — --- -- ---- Final _ PASS PART FAIL ------__.._. .---- --------- --- ------- ELECTRICAL -- Service Rough-In UG/Slab Low VoltageW m Reinspection fee of$_—_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL �1 SITE - Please call for reinspection RE: -- LJ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk �s —��-. IRs�:f�orl�_ j'' Other: Final DO NOT REMOVE this; inspection record from the Job �ite. PASS PART FAIL CITY OF F T I G/�R D - BUILDING PERMIT PERMIT#: BUP2003-00503 DEVELOPMENT SERVICES DATE ISSUED: 9,19/03 13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S105DA-16100 SITE ADDRESS: 13375 SW SANDRIDGE DR SUBDIVISION: PACIFIC CREST ZDNING: R-7 ---.—.-BLOCK: __LOT: 049 JURISDICTION: TIG REISSUE: CUSTOM FLOOR AREAS_ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E:� W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY" GRP: R3 TOTAL AREA: U sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STUR: HT: ft GARAGE: sf OCCU SEP RATED: BSMT?. MEZZ?: _ _ REQD SETBACKS_ _ _ _ _ REQUIRED FLUOR LOAD: psf LEFT: �i ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: 15 ft REAR: 15 ft FIR ALRM : HNDICP ACC: BEDRMS- BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 5,976.00 Remarks: 360 sq.ft. deck -extending deck on MST permit. Work will not comence until the house has closed Owner: Contractor: CASSIDY, KIRSTEN AMERICAN CLASSIC D&I INC. 13375 SW SANDRIDGE DR. 14997 SW TUALATIN SHERWOOD RD. TIGARD, OR 97223 #102 SHERWOOD, OR 97140 Phone: 503-708-7278 work Phone: 505-925-9530 Reg #: LIC 153783 _ FEES REQUIRED INSPECTIONS Description Date Amount Footing Insp �l3UPl'!.NJ Pln Its, 8/20/03 $65.59 Framing Insti Final Inspection I'AXJ 81!,,State Tax 8/20/03 $8.07 lit 1I1-01 Permit Fee 8/20/03 $100.90 Total $174.56 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Issued By: -- Pemnittee Signature: Call 639.4175 by 7 p.m. for an inspection the next business day ` rkA C Aj q �u Building Permit Aimlieation Received ' -,0Permit Na Cit of Tigard Planning Approval Other City g Date/By! PermitNo.: 13125 SW Hall Blvd. Plan ReviewOther Tigard. Oregon 97223 Date/By: Mow -'1-03 Permit No.: Phon 503-639-4171 Fax: 503-598.1960 Post-Review Land Use Date/By: Case No. Internet: www.ci.tigard,or.us Contact Juns.: See Page 2 for f 24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information rnST- -zoo 3- odogs— a New construction T —�OF,Wp I)erriullttun T� R�ITIRED DAT A �µ &,,�1�ANill.Y DWl�LL,4lt�[s` 1 Addition,alteration/re placclnent Other: Note, Permit fees'are based on the total value of the work performed. Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor, _ l & 2-Famil ' dwelling c-'ommerctal/Industrial i" Accessory Building Multi-Famil overhead and profit for the work indicated on this application. .� ,L Master Builder Other: valuation......................................................... s �'9 74-ca " µ[ 'j }, ��I� ,O� � No.of bedrooms: No.of baths: Job site address: � s w t;it, OgAme Wt't Total number of floors..................................... Nev dwelling area(sq.ft.).................. ........... Suite#: Bld ./Apt•#; Garage/carport area(sq, ft.)............................ Project Name: Covered porch area(sq. ft. ................ ........... alit Cross streeVDirections to job site: Deck area(sq.ft.i. ......... . .. ........... Other structure area(sq.ft.)........................... W b 'r +R 9 bN REI)DAJW �O1•[M RCIA),-USE Subdivision: P* tc Sf Lot _ Tax ma / areel#; w Note: Permit fees'are based on the total value of the work performed. Indicate FSC Yb1tT(M W(;f If the value(rounded to the nearest dollar)of all equipment,materials,labor, —-- "- - overhead and profit for the work indicated on this application, --- -- ------ Valuation................................. ...................... $ Existing building area(sq.III,)......................... New building area(sq, fl.)..... ........................ia-7 . _ Number of stories............................................ «,,' Type of construction..... ........ ........................ _ Name: Kt RS Occupancy group(s): Existing: Address: 33 %-,JSA DN M'tr Vj(1 - New: City/State/Zip: "1,Co tKt D , OSI.- 0f4-'M-_% -- - Phone: V3 (c Fax; NOTICE: All contractors and subcontractors are required to be A k 7 AC�>E licensed with the Oregon Construction Contractors Board under -- provisions of ORS 701 and may be required to be licensed in the Business Name: a • nt C*--) c t x-*%-j c 0 t Fut u jurisdiction where work is being performed. If the applicant is exempt Contact Name: c-,r n C7 from licensing,the following reason applies: Address: 1`1 ct+IE6Lw o>o *•1,0 — - City/State/Zi ro".CT-k•»aD 0cx- 13"Irt40 Phone: so3 �f1 S Fax: soy,qua S�iA E-mail: t.n zs urea tmt-• �MA {t{ ►I n{vc' r{ tintrr rca:�* _--_-- _ {'lcast relirto fccschcduli. T- BU517eSS Name: RtlMav tltGItr1 c.t R v9.;c p Fees due upon application.... ...................... $ � Address: t q a Sr.a,u�,,�-�,J ttt'�XLW�sOU'iD �', Amount received............................................. �Cit /State/Z1 : SEoo9 t0R g2,r1Vp 1 _ _ Phone: $03 Av& I'L11 Fax: 'gp-,,. qZs of-13,0 Date received:_ OIc4�0 6 3 CCB Lic. #: 1sa3 ---- ---- — SiAuthorized aturee:i e Notice: This permit application expires If a permit I!not obtained within Signat — V T — Date, J�Q3 100 days atter It has been accepted as complete. "Fee methodolop,set by Tri-County Building Industry Servlet Hoard. (Please print name) 1:\Dsts\Permit Forms\B1dgPermitApp.doc ^'.103 Plan Submittal Requirement Matrix Ad ('ornmercial & Multi-F"inilv City of Tigard New, Additions or Alterations TYPE OF SUBMIT'T'AL # of Plans (Include's New" Additions "ions or Alterations) Required at Submittal Site Work (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant 'improvements, submit 2 sets of plans. ""New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "Y technicians. I:kBuildlng\Fornis\PlanSubMatrix.doc 04/03 PACIFIC CREST SUBDIVISION LOT — 49 CITY CDF T'IGAR.D CITY OF TIGARD TWE APPROAC,W 5HALL BE Approved A MINNMUM Or B"xl2'x20' CondltionallyAUproved... ..'•• ~+••••••• OF CLEAN PIT GRAVEL For only thR wAk asdescribedin PERMIT NO S tl_...�`'�"-�ao&.'b NOTE See Letter to Follow............... Y IR.00F DRAINS 70 STORM --• -•-•• ( ' LAT IN STREET SANLa� �.......... 2 FOUNDATION DRAINS TO EL 50Y td Add 9S) - �.lIO' J;_1' fW SAwr Q� 6ACKYARD SOAKAGE TRENCH y _ 9to. c SEE ATTACHED DETAIL LANDSCAPING FOR THE ENTIRE LOT __/—�`JlQ SWALL BE FINI5HED OR THE LOT 11 —'T/ v SURROUNDED BY EROSION CONTROL PRIOR TO BREAK OUT OF COMMUNITY i ry EROSION SCNTROL FINISHED SLOPES t 1/7' TAfARIAN R SHALL BE LE55 THAN 2 TO I 4uyE TEM GRAvFL DRIN 01 00 ` SOFT 156 FIN EL 508 PL 4T4 39026 \ LIVIt- . 4066 FIN EL\ 509' c-- bECK .4 b1i �. 8 05� 42 ,€`_ 85. 05 ' ! t � li z (n s 49 5ETBACK REQUIREMEN 5 i cxE •m o' FRONT 7 AFRO TO GARAGE 20' 8JARD 1930 SDEYEA Y 5' CREAR rEAR,D 15' U°"" 1331"We==°.MLAN D.R. Horton Hames sco.ts IC 5125 S.W I-lacadarr 4/eneut* core :,:o�on Fo-t.Iand On eg 0n rax $012223111 .�. X1$•1") +� — 11v'��, .".---•--._"ems' e�--"�•..._ FIN ' w g PC cio z's Y i� I� l � Q I0 r we o Ir L 6` A Al z a -IC r C LU -` u 0 too 4r-. �7 v' Cl) I ( . ol L (� t 9r PACIFIC CREST SUBDIVISION LOT - 49 CITY OF TIGARD TWE APPROACH SHALL BE A MINNMUM OF 8"xl2'x10' OF CLEAN PIT CiPAVEL NOTE I.ROOF DRAINS TO STORM LAT IN STREET. go ot��777 ^ _ w IEa 1 FOUNDATION DRAINS TO 8�D0�' \5 ( 1 -r� Ec•s.u' BACKTARD SOAKAGSF TRENCH �✓Jt / 5EE ATTACHED DETAIL l-- LAN05CAPING FOR THE ENTIRE LOT SHALL 3E FINISHED OR THE LOT SURROUNDED B" FRO510N CONTROL - PRIOR TO BREAK OUTOF COMPIUNITY EROSION CONTROL. FINISHED SLOPE SHALL 15E LESS THAN 1 TO I MAp E• rAiANIAN 'EMR GRAVEL DRI WAY C w• ` MM AD FIN EI. • 508' (� P1-4� 39010 \\ LIVINej . 4066 _-- \ ` FIN EL\; 509' c— h � stool le 13 ♦ 1 �< W Z In � ) SETBACK REOUIREMEW5- Yu¢ r•m' o• FRONT YARD TO GARAGE IG' 51 8 r .✓C� I SIDE -rF A ---- REARYEaRD 15. r�oaE�n, �s»f fw f.-d.w •a '� -ton DR. Hoi Hom C's rtnrr \eorc DAIE 3,70/03 5125 S.W. rlacadam Avencsue vE�sEc r»o� n+nNE .fouraA+f, POrtlarld Oregon ..x fofnr�in PACIFIC CREST' SLJSDIVISION LOT — 49 C'IT'Y OF TIG ART] THE APPROACH SHALI_ BE A MINNMUM OF 8"w.12'x2O' OF CLEAN rIT GRAVEL NOTE I.ROOF DRAINS TO STOR" LAT IN STREET, w TER 2. FOUNDATION DRAINS TO Ft-�on LA \ CE-510' BACKTARD SOAKAC,E TRENCH v1 \ /// 4— SEE ATTACHED DETAIL ///`��JJJ LANDSCAPINC, FOR THE ENTIRE LOT ` _ SWAL.L 5E FINISHED OR THE L07 C 7-B SURROUNDED BY EROSION C0N7ROL PRIOR TO BREAK OUT OF COMMUNITY 7 ER0SIC7N CONTROL FINISHED SLOPES R $HALL BE LESS THAN 2 TO I ►2i E 2.rw1Aw TEM GFPAvEL • DR.I WAY J SOFT. 156 `` �\ FIN EL 508' �J LIVINY 4066 FIN EL` \ ` \ aAff&k) \l o topmrcll y �a 8 2 0'522�'E 85. U 1 w 49 SETBACK REQUIREMENTS SCALE 1•2o'-n° FRONT YARD TO GARAGE 20' r-� ' �l SIDE 7-1---ARD ARD �j* 51 l\ REAR YE ARD 000et,n,133-40]W S. *I dqa 0- _ D.R. Horton Homes rlW 3YJ2C V_ALe r . 20' DA29 :,20,03 5115 S.W. Macadam Aveneue Portland Oregon PAX W322231n (:II,V OFT ICok D,SITE PLAN REVIEW .� QUILDING PERMIT NU.: PLANNING, UIVISIO loved ❑ Not Appro%etl Required Sethu�l<5: App' �_ S tilde: _.�j, �t eet Su{e: Rear: A roved ❑ Not Apf+r�,k.��t Visulll l_'Ic�lr:tnct: � lett Maximum 1311+Idil,g 14,C t' ('WS Service P ovid-r Letter Requircd: 0Re�ei�.d f;�<;� NEE,1?l'N(iU1=.l'AIZ'1 �11:N�1': NutA > .! E�ctunl ��lupe:�'°'• G9��l�pn,ved 0 1 I>roveroved pproved Nat App n:nr._F �c 3 Nr,Ne�• CITYOF TIGARD MASTER PERMIT DEVELOPMENT SERVICES DATES UIED: MST2003- 300085 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 SITE ADDRESS: 13375 SW SANDRIDGE DR PARCEL: 2S105DA-16100 SUBDIVISION: PACIFIC CREST ZONING: R-- BLOCK: LOT: 041/ JURISDICTION: I Ili REMARKS: New SF detached, Path 1. BUILDING REISSUE: DR3209C STORIES: 3 FLOOR AREAS REQUIRED SETBACKS _ REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: 1,552 at BASEMENT 924 of L9FT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,582 of GARAGE. 756 of FRONT: 15 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 THIO of RIGHT: 5 4,30260 OCCUPANCY ORP: R3 BDRM: 6 BATH. 4 TOTAL: 3.134 of VALUE 40REAR: 15 PLUMBING SINKS: I WATER CLOSETS: I WASHING MACH: 1 LAUNDRY TRAYS: t RAIN DRAIN: 1 TRAPS: LAVATORIES: DISHWASHERS. I FLOOR DRAINS: SEWER LINES: 1 SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS GARBAGE DISP I WATER HEATERS: 1 WATER LINES: I BCKFLW PREVNTR: GREASE TRAPS: MECHANICAL OTHER FIXTURES: FUEL TYPES FURN-100W BOIL/CMP�]HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN-100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS. 5 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP ERVC/FEEDERS _ BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 anp: W/SVC OR FOR. PUMPIIRRIGATION: PER INSPECTION, EA ADD'L SOOSF 8 2" 400 amp. 201 400 imp: t at W/O SVCIF DR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: I 4L 800 amp: 401 000 amp: EAADDL BR CIA: SIGNAIJPANEL: IN PLANT: MANU HM/SVCIFDR: 601 1000 amp: 601+anpe•1o00v: MINOR LABEL 1000♦amplvolt PLAN REVIEW SECTION Reconnect only, >e4 RES UNITS: SVCIFDR>s225 A.: a 600 V NOMINAL CLS AREAISPC OCC. ELECTRICAL•RESTRICTED ENERGY A SF RESIDENTIAL B.COMMERCIAL AUDIO B STEREU VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 9,136.13 D R NORTON INC PORTLAND D.R.HURTON INC This permit is subject to the r,gulatlons contained in the 4386 SW MACADAM AVE#102 4386 SW MACADAM AVE. Tigard Municipal Code,. all VI OR. Specialty Codes and all other applicable laws. , do work will be donea PORTLAND,OR 97201 SUITE#102 PORTLAND,OR 97239 accordance with approL',�d plans. This permit will expire If work is not started wilnln 180 days of Issuance,or if the work Is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 503-222-4151 Phone: 503-222-4151 Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through 952-001-0080 You Reg 0: LIC 130851) may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 84 Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Sewer Inspection Underfloor Insulation Plumb Top(.at Exterior Sheathing Insl Rain drain Insp Electrical Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Rain drain Insp Mechanical FInai Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Post/Bean:t u ural PLM/Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final UBy : Permittee Signature : Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00074 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/17/03 PARCEL: 2S105DA-16100 SITE ADDRESS; 13375 SW SANDRIDGE DR SUBDIVISION: PACIFIC CREST ZONING: k BLOCK: LCAT: n41) JURISDICTION: II( _- -"ENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF Owner,- FEES G R HORTON INC PORTLAND Description Date Amount 4386 SW MACADAM AV[ 4 10 2 PORTI-AND, OR 97201 [SWUSAI Swr Connect 4/17/03 $2,300.00 [SWLIS.A] Swr Connect 4/17/03 $0.00 Phone: 50-222-4151 [SWINSPI Swr Inspect 4/17/03 $35.00 [SWINSPI Swr Inspect 4/17/03 $0.00 Contractor: - Total $2,335.00 Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given If not so located, the installer shall purchase a "Tap and Side Sewer" Perm Issued h / Pprmits�e Signature: Y: _�.. Call (503) 39-4175 by 7:00 P.M. for an inspection needed the next business day FOR OFfICE U21E ONLY' Buil,�i><i Fermat A �lieatie�n Reeeived /o,2ls�,id t; — --- '-------�-1-- Dat.IB Planning Appr vat Other City of Tigard Date/By -- _ Permit No.:0 — 7 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: /' '° Land PermNo,: Post%ate : icw Phone: 503-639-4171 Fax: 503-598-1960 D / vate _ Case No. Internet: www.ci.tigard.or.us Contact Juns. N See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Sun Icmcntal Information TYPE OF WORK REQUIRED DATA: New construction H Demolition 1&2 FAMILY DWELLING \ Addition/alteration/replacem_ent Other: CATEGORY OF CONSTRUCTION Note, Permit fees'are based on the total value of the work performed. Indicate 1 &2-Family dwelling Commercial/industrial the value(rounded to the nearest dollar)of all equipment,matcnals,labor, \v overhead and profit I'or the work indicated on this application. Accessory Building 71 Multi-Family Master Builder _ 7 Other: Valuation.......................... .............................. $ bD JOIE SITE INFORMATION and LOCATION No.of bedrooms: No.of baths: N, �� Total number of floors.................................... Job site address: I"' Y New dwelling area(sq.ft.). ............................Suite#: Bid g./Apt.#: _ Garage/carport area(sq.ft.).. ......................... —24P 4e-- �, Project Name: c, Covered porch area(sq.ft.+............................. Deck area(sq. ft.)............................................ Cross street/Directions to fob site: Other structure area(sq.ft.)............................ REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: _ Tax map/parcel #: Note Permit fees"arc based on the total value of the work performed Indite �. DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,lab overhead and profit for the work indicated on this application. Valuation......................................................... b --- Existing building area(sq.11.).......... .. _ New building area(sq. ft.).......... Number of stories... IV PROPERTY OWNER TENANT type of constructs }�I /N�/ at t l R k Occupancy (s): Existing: Vme: New: e/Zi NOTICE. All contractors and subcontractors are required to be Phone:OO -,yj' / Fax: 93 - .74 I tl licensed with the Oregon Construction Contractors Board under _rTAPPLICANT CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: jurisdiction where work is being performed. tribe applicant is exempt Contact Name: OL _ .' from licensing,the following reason applies: Address: 17 u.�la �fye Cit /State/Zi : 0i 1g4, —� Phone: - �[�[ hax: �3 �� BUILDING PERMIT FEES" E-mail: _ _ Please refer to fee schedule. CONTRACTOR '— Business Name: LC Gtr*% Fees due upon application.......................... Address: �6` S �Qf2� _ 07" _ Amount received........................................ Cit /State/Zi Q Phone: '�/i Fax:rD J '3? I 7 Date received: � CCB Lic. #: jp -- --" Authorized C �� /„ Notice: This permit application expires If a permit is not obtained within Signature: �1� ._ Date 1—� 1R0 days after It has been accepted es complete. _&�, SD�1 - _ -Fee methodology set by Tri-County Building Industry Service Board. (Please print name) i:\Dsu\PermitFoffm\BldgPenniu\pp.doc 01103 USE ONLY FFICE Mechanical Permit Application ' � " ReceivedMcchanical Date/By. Permit No.. Planning Approval Building City of Tigard Date/By: Permit No.; 13125 SW Hall Blvd. Plan Review other Tigard,Oregon 97223 Date/By Permit No.: Post-RePhone: 503-639-4171 Fax: 503-598-1960 Date/By: ate/B :yland Use ' Date/ Case No.: Internet: www.ci.tigard.or.us Contact Juris.: See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: _ Supplemental Information. TYPE OF WORK T COMMERCIAL FEE'SCHEDULE-USE CHECKLIST New construction _ Demolition Mechanical permit fees*are based on the total value of the work Additton/alteratiot7/replacement Other: performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit. 1 & 2-Family dwelling _Commercial/Industrial Value: S See Page 2 for Fee Schedule -Accessory Building _ Multi-Family RESIDENTIAL E UIPMENT/SYSTEMS FEE-SCHEDULE. Description I Qt Fec ea. Total Master Builder ❑_Other:_ - Heatln Cootie JOB SITE INFORMATION and LOCATION Furnace-add-on air conditioning" 14.00 Job site address: h f G Gas heat pump 14.00 Suite#: Bld ./A t.#: Duct work 14.00 Pro ect Name: H dronic hot waters stem 14.00 Residential boiler Cross street/Directions to job site: for radiator or h dronic system) 14.00 Unit heaters(fuel,not electric) in wall,in-duct,suspended,etc. 14.00 Flue/vent for any of above 10.00 Sub � �r_ Repair units Other Fuel Ap Ilancea 12.15 Tax map/parcel #: Water heater 10.00 DESCRIPTION OF WORK Gas fireplace 10.00 Flue vent water heater/ as fireplace) 10.00 —�-- ---- Log lighter as 10.00 Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/I i ncr/fI ue/vent 10.00 PROPERTY OWNER TENANT Other: 10.00 -Name-._ b Ll-?n /;l(, — �'r Environmental Exhaust&Ventilation Range hood/other kitchen equipment 10.00 Address: Clothes dryer exhaust 10.00 Cit /Start'/Zi nw, Single duct exhaust Ph( I (bathrooms,toilet compartments, APPLICANTI WCONTACT PERSON utility rooms 6.80 Name: Attic/crawls ace fans 10.00 Address: 41,39 v3Other: Fuel Piping10.00 City/State/Zip: �y � ��/ •'(55.40 for nrst 4,SI.00 each additional u, Furnace etc. " Phone: h�3 2;7 ' 6-1 Fax: 03->i*�.__�Il .. u Gas heat pump E-mail: Wall/suspended/unit heater CONTRACTOR ~� Water heater " Business Name: �/�� 2' Fireplace _ Range '• Address: _`�� .. — BBQ Cit /State/Zi ��.' �- 0: _ . J Q� Clothes dryer(gas) " Phone• - (,// —"t-( Fax: Other: CCB Lit;. #: _ Total: --- Mechanical Permit Fees" _ Authorized Subtotal: S Signature: Date:��l Minimum Permit Fee$72.50 S Al I vOW Plan Review Fee(25%of Permit Fee) S (Please ri0,,,,l State Surcharge 80i16 of Permit Fee) S TOTAL PERMIT FEE S Notice: This permit application expires if a permit is nit obtained„ithin 'Fee methodology set by Tri-County Building Industry Service hoard. IAO days after It haii been accepted as complete. "Site plan required for exterior A/C units. i\Dsts\Permit Form3\MecPermi1App.doc 01103 02/20/200.3 16:15 5036422900 POSS EL.EI'.TPI,I P4l3E 01 02/20/2003 16:10 503-222-2675 DP HOPTON PDx CC'.s PAGE 02 Electrical Permit Application ' 702=" Elr teal Ci of Tigarri Apprtvvt Pterin D.�eR3y: Perrrrir No.: 13125 S W Hall Llvd. Plan Rrrvlew I Oma Tigard Oregon 97223 DaaolA : ^_ Petmi No. Phonn: 503-639-4171 Fax. 503-598-1960 Poft•Pevrew Corel . roterrr"- nnusv ci.tyRarcLor.u� Ari,.:: CvRtact Ari,. VQ Ser Para:tine 24-how 1capect�ca Pequesr: 5C3-639-{1175 NamrlMethed: 9u )INnrntal ill rOrm1li0n. TYPE 41Fi VO i:;' ;-iJ ;I wyi `t$'1 ,n'PI:JID( REVIEW'fPlea ',t4 t3a,it ft;dY . „ '! 7 .New coristructlon I F1 Demolition Beevine owr22S 0 Hearth-csrc Iserliy Addition'alt=tion/re laeemant Other: C11men a'd , C xvlding o 10,0 ❑Ser ince over_ZO ernpa-sling of ❑Building ow.r 10,00D sgtutre Pee;, r;?u.r,''Yiif' :GATE Y OF.!O N hrC•r2�lY4i"+ �'�kr;:r�! t.&2 faintly dwtllirp four ar more ntalentiol until in 1 &2-Fatnii dwelling Con=e'reial/Industrial O Syete r over 600 volts norrnwl one tttwhtne tJ eu4dine over three Ru Acr ❑Footer,,•tOrf arrrpt or mexm twcessori Buil to Multi Fartlll _ oo rccupant lord over 9. prr.:ons ❑MsnuiStclwtd 3netures or P.Vp'itt Master Builder Other: Egress/lI1huna plan ❑Odur— b1 "' JQ 5 T1 Wand LOGATI'C1N Sebretl sets of plans wltb any of tba above. The above are not triphethlote t4rne2ra a ttstrociloc Benita Job Site address: ��u,att�. .y:_L _ 1',�PEE 'SCH£UU1�1E�„y"�'L�'�.,. �„r�;r•;�,�s::. Suitt#' Bld ./A t.#: _ Number of my ectionf per permit allowed Pro'cct Name: Do-cri Unn Qt7 I Par(claw I Te,d Cross SCeet/DlreCtiouS to job ante; Ncw rssldemr n6-+lnal�o,moIt:•ftnulj v� 1 I dwoJlinr naR.Iattadcc atrsrl,ed gx,aga Srr.lam i6clededr t� — tier:, 1!5,15 4 Eich ,eon 700 .ft or an r,rwcrcot 37x0 y l subdi�isiarr rarrc rc � Lot_ : ,meta s.0 a �_ nand inon mimpricial nuo _j_7 Tax map/parcel 0: Paah manufutbaed home at modulardwillmg �., n. �,,,+�, aervicetadlorf^_rtler 9490 �.UF.WUR16 Senkes er keden-lanta(latlon, alrtrltiea a,mlocannn: 200 am r.or les _ 80.30 2 201 n !0485 2 w l to ti0r)run a i 4o.40 2 -�PR(a�EIR�Y '► 9 i,, 1' :. 1'.! T,.,a ;r, r.: ;.,�•tl? 601 V"w21000 nrnur a6n > �' L., _ /tel V f Reco1000atily11101 wren 4GUS5A.63 2 Name: jQp, Hey l� IP1 ./ �Y� rs, Re�,naerool 66.es z Address: 64 -I�Q Ttmporary 7e►rieee or fooden-igtplrabaes, (� �� 20C ar pi o l rtlotaHan: Clt1'/�t'dtPJ!; 206 amps or IcV ddd5 I Pbonc:�?,•�j?:'�i�� r : -l72 2a aro in uoa loo 3n t :St�'PUiC Tr" a0t b 6 o_Li7pr 133.76 2 te9RC.T Cr.' 4', Braacb arrears-nra,airrration,or Name: (� �! exteetlon per paneh Address: 7 / A.rte fo"to mh eirnuits v,ttA Mirchr:se of situ re or Meter fee eteb bru+e4 trtul! 6.65 Cit r/state/Zt : A_ /Z f s.Fee for hrmxh rrcu;z without purd,aw of Phone; ltniee or Mme Cee t tnxnet ort a6.B5 2 ach a'dtooeal branch circult 60 2 E-mad!: titlse.(Str ce m lr-,&r vet mcludedl, Eleb M?_ op r edea ion elrote _ 33,40 2 Hoch c or outline li _ 53.E 2 Job N0: $urinal rirnril(n or r Ilntited Roarp pane" Business NarrlP: / G ni�j alter,don,or wentuon 2 2 Address:Z 3el 0 5 w 0 ' cb additional Ins tion over the 31jerwoble in tnf efthe abort• 'Ci ;'State/Zi : -h I15&00 V-O C/� r er,M1rpectlDn per ha ,Imn.I Miran; � 4 PhoncceY z. ZVc)c) Fax S')}•GYL—S'fsl S tovertlStmcv owe CCB Lic. #. I g iS d l • : y-yr iC;,t�-:•�,;�,��d •' �:�CrlcFtr'IEil;PltiiiltiFt�f Supervising electriciatl Subtotal S Sid; Man Ravi w(7.5%of Po ttut Feel+-s Print Name;5t'II i2a5 5 L Lic. #: Y-z 3 ;L Swe'Surah..rre(8%of PL mit Pee, I I _ TOTAL PU IIT FU S Authotited Neticir ait permit applicatteo ecpins:f n ptrm,t it not Obword w;1h Silmotutt! Date: + IOR dei-t 46tr it has been aceepttd as complete- L �J /�/ ole •Fa mehederogy cit b3 Trt^ Servat Cmrirty Suitdiop Industry Reined. s/� (Fir-an Prean name' ) ! t ;:NNts�PertnitPorms\E1ePwrritApp.doc FEB-•=II_. 16:15 P.02 �]2!21/2f303 65:53 563-544-5383 (',PAFTl,J0PV PLIJF-EDIG PAGE 62 02/20/2003 16:08 503-222-2575 DR HORTD-I PV. CLNS' PAGE 02 Fixtures � Building F' • e Permit A licataon �; Plumbs Ty Plumbing, Dite/P 1 Sever p rlNc I IJ,c1043-GYXt Pl.anninL A;llr +e: pr= Llite'8v prrrnil tio.: City of Tigard - other � plan Rewet� Pcrtrtt tip.. 13125 SW Flail Blvd, ge Tigard,Oregon 9'1223 r«t-pet'ew Lam o. Phone: 503-639-4171 Fax 503-599-1960 DntdBv; esteNa.: �„t 1una.: S,•c Pagc 2 for wernet: WWW O.tiflVd-Or.11S Nir1>eMah : Bu lem«n'al Inr0rtnnt;o6._ 24-hour 12t:Pecu0a Pcquest- 503-639-4175 Rw q, +: rm' a *ta•)consWactiOn D►molitton f&-n,�t Addition/almration%re�lacement Otho: ;(i ,at^+lit 'r l;,�l htidtr Xd'i�.,'a' t,a I 1i'•,. '' ';:c" SFR l bath 149.20 350.00 ,9c 2-Family dwelhn COmmercia'J1nc u9tsial SFR(2 bath 399.OU Multi-Fatn:l SFF.f3 bith 45 00 [].gcoess B'lilclin L .----� -- bash sddthonal bath1citehen, r]Mester Builder []Othcr: Pa e 2 _ �'t�(Y8'SCd_E.. lE( siLtT[C1V utf'tiLO �tO� +' r'Firertnkirr I In ,y°' "sC '1011t t.• lob site sddress: �" ' Catch bmayerea dreln I6.60 Bids Apt•r'- D vclineach liae,trench drtUr. 16.60 Suite a�: Pave 1 Pro'eet Namc: Gf G G'� Footin era�n no.I+near tt. 1 CrosS SITeefNfectlons to job Site: Manufectured borne uttlitieS 16.60 'vtatdtolea 15.60 Rain drain connector pa c 2 Smitar :ev1er(no.linear a peer 2 Lott r , sty sewer ft linearR Subdivision: QU Water scrsicc no.linear R.' Pave 2 �•y ESCtRIpT: -�T Ab90 tion valve P�6.60 J BackPo�t•prr^renter - 16.60 Bac -,r valve 16.60 ClaLhfrleg ex vrsher 1G.60 Dl:hwa:her 16.60 H::� Dtlnki.'1 ;Quctain 16,60 E ectorsh""J"Me 16,60 ' 1 Yj J 6x anaton=kVflQ1C: FLcturnllewCr c I G.6D Address: i �.�.��A g"' Floor drain/9 e1n1:'hub 16.60 C1 /9txte z. DY _ J1 Garba dis :sal 16,60 Phcme:Sb3 r_ �L Fax: Ifi.60 y y 3Tr ? wowS,t 16.60 't11(ItiV. : ,O �P gA'�!_, ice"Mks? - I� Inters tor/ Me MAR 16.60Pn e 2 ams: MR 1=� - medicni�•value: L Addres3:I fes? -.?Jc1� Pricwr 16.63 Ci iSlatr./ZlgG1 Roofdtaun cotrtr:tcrctall 16.60 Sinktba-IwUvMgn, 16.60 Phono: Fax: 6.60 E-mail: :m coUrinal 16.60 "t;•. � 6 60 .•,,.,., ',Tf('i '',''�.�•• - L�'atrtelava 16.80 Business Name: Ip� wit ai heater Address; 77 J. S w /r �ltil ochre Cit'iS'_tte/Zl t� 91�e I I. r, •'':il1iiiel�i rl: !llriti>9iu¢P.Ft It *h�71� ii+ °�ri e �: Phone: 4-f�. Fax: - �_ - subtotal s CCB Lie. 0. 9 G Plumb. Lic.ti'�:.20 y Pts M;runum Perm?Fee$72.50 S Authortredt f Residum encti eaceow Minimrte S36 ZS 9tgnARtIC' _ � Date, /�/ 3 Pian w.vinv 25/c of permit Feo) 3 Stat?Surchar a rR a of Pt`tmlt Fee 5 Tt7TAL.PE.RM11 FEE S --- (P'exec print nemel Retlh: 1'bit peratic.pObeetbn rrplrt if a prt'tnil Lt not nbt�lncd wlthle rlelrr AlaOrint torlzj plin�r�� ie�• -2�f,of ptanr with It.metrie or 180 dwl iftel•It he,heed%reepted.s comps lete' .pat methadoler et b9 Te:-County ilnlldlnt;lneuntry Stn'tce tionrd. t.tDsISV'erfttlFntms�PlfltPcnriclypdoe x:'01 FEB-21- 003 05:�t9 503 5a� 5'393 =5 . c.0. 02/26/2003 14:43 503-222-2675 DP HOPTON PGX CONST PAGE 0I P,NC I1-IC CREST SUBDl'%/ ISIC7N 49 CITY THE APPROACH SuALL DE Ar oM R x.2 .' 0 CLEAN OR CI.:AN f�IT GRAVEL NOTE ROOF DRAINS TO STQW LA' IN STREET 2 FOUNDATION DRAINS TO A•!01' E�•5 C 6AGK"GRD SOAKAGE -IEENGN 9 {\JJ "F ATTACHLID DE'dl L n �- ANDSCAFmNQ �Vk INE ENTIRE ..OT SHALL 0E IsINISHED OR 164E LO' SURROUNDED 0Y EROSION CONTROL ti potOV TO BREAK OJ' CF COMMUNITY !� EROSION ONTROL FIN SWED S�0PE5 SUAL_ EE_LESS THON 7 TO I TEM GRAVEL MAPLE ORIv WAY A ,` ---- -LAlir 39302C Cy N r1 0 !oar+ rd et'e ` ----------- I I 1 I I 0*5� yr, w z _--+ (n 6iTBACe, REQU FREMENT5 g,lt 1 -10 e' 9CRONT YAQ- TO GARAGE ?C' 5 DE YARD 5 Q ( ) I REAR YEAR- 5 n Al5D 97lS Nb"d ,o• r-LAN. )Wl D.R. Horton Homes K..►.1 ro f.+125 5.UJ. MacadATn Av.�reue CA-1 r.roIo" PprL;ArdL__j Oreac7l' �.� sorru� � �--�